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From Nutrition Support to Pharmacologic Nutrition in the ICU pp 461–471Cite as

Merging Evidence-Based Medicine and Nutrition Support Practice for Critically Ill Patients: The (Mis)interpretation of Randomized Trials and Meta-Analyses

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Part of the book series: Update in Intensive Care Medicine ((UICMSOFT,volume 34))

Abstract

In recent years, the principles and practices of “evidence-based medicine” have received increasing attention and scrutiny in critical care medicine [1–3]. Evidence-based medicine is defined as the explicit consideration of the best available evidence from scientific research in clinical decision-making. It is acknowledged that scientific knowledge is only one of many determinants to a clinical decision. Said differently, the results of randomized clinical trials (RCTs) (or meta-analyses) do not make clinical decisions, they inform decision makers. Evidence-based medicine provides both a paradigm and a set of principles to help establish the validity of scientific observations.

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Author information

Authors and Affiliations

  1. Department of Medicine and Community Health and Epidemiology, Queen’s University and Kingston General Hospital, Kingston, Ontario, Canada

    D. K. Heyland

  2. Medical Center and School of Medicine, University of California, Los Angeles, California, USA

    R. Koretz

  3. Division of Gastroenterology, San Fernando Valley Program, Los Angeles, California, USA

    R. Koretz

Authors
  1. D. K. Heyland
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  2. R. Koretz
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Editor information

Editors and Affiliations

  1. University Hospital, 1211, Geneva 14, Switzerland

    Claude Pichard MD, PhD (Head of Clinical Nutrition) (Head of Clinical Nutrition)

  2. Department of Surgery, University of Wisconsin-Madison, Madison, WI 53706, USA

    Kenneth A. Kudsk MD (Professor of Surgery) (Professor of Surgery)

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© 2002 Springer-Verlag Berlin Heidelberg

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Heyland, D.K., Koretz, R. (2002). Merging Evidence-Based Medicine and Nutrition Support Practice for Critically Ill Patients: The (Mis)interpretation of Randomized Trials and Meta-Analyses. In: Pichard, C., Kudsk, K.A. (eds) From Nutrition Support to Pharmacologic Nutrition in the ICU. Update in Intensive Care Medicine, vol 34. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57119-0_34

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  • DOI: https://doi.org/10.1007/978-3-642-57119-0_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-42604-2

  • Online ISBN: 978-3-642-57119-0

  • eBook Packages: Springer Book Archive

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